Edward Lee Phelps, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Coldwater, Mississippi. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2007 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Midsouth Speciality Anesthesia Services Llc, Midsouth Speciality Anesthesia Services Llc, American Anesthesiology Of Mississippi Llc, Ut Regional One Physicians Inc and his current practice location is
1203 Bluff Rd, Coldwater, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 562-7654.
Edward Lee Phelps is licensed to practice in Mississippi (license number R862681) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205097409.
Provider's Profile
| Full Name | Edward Lee Phelps |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 19 Years |
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| Location | 1203 Bluff Rd, Coldwater, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Edward Lee Phelps attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2007
NPI Data:
- NPI Number: 1205097409
- Provider Enumeration Date: 06/19/2008
- Last Update Date: 11/07/2015
Medicare PECOS Information:
- PECOS PAC ID: 8022189489
- Enrollment ID: I20200709000286
Medical Identifiers
Medical identifiers for Edward Lee Phelps such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205097409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | R862681 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Midsouth Speciality Anesthesia Services Llc | 6103293667 | 29 |
| Midsouth Speciality Anesthesia Services Llc | 6103293667 | 29 |
| American Anesthesiology Of Mississippi Llc | 4789057878 | 26 |
| Ut Regional One Physicians Inc | 5698993418 | 329 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Edward Lee Phelps allows following entities to bill medicare on his behalf.
| Entity Name | Ut Regional One Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093130585
PECOS PAC ID: 5698993418
Enrollment ID: O20140820000662 |
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| Entity Name | Midsouth Speciality Anesthesia Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245956440
PECOS PAC ID: 6103293667
Enrollment ID: O20221121000130 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edward Lee Phelps is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Edward Lee Phelps, CRNA
1203 Bluff Rd,
Coldwater, MS 38618-6719
Ph: (662) 562-7654 | Edward Lee Phelps, CRNA
1203 Bluff Rd,
Coldwater, MS 38618-6719
Ph: (662) 562-7654 |
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